CAJ | 학술논문

目的：探讨加味四逆散足三里穴位敷贴对剖宫产术后胃肠功能的影响。方法：选取剖宫产术后患者共200例为研究对象，随机分为对照组（n ＝100）和观察组（n ＝100）。对照组给予术后常规护理，观察组给予加味四逆散足三里穴位敷贴。比较两组患者术后肠鸣音恢复时间、肛门排气时间、排便时间、腹胀发生率及血清胃泌素水平。结果：观察组患者术后肠鸣音恢复时间、肛门排气时间及排便时间均显著早于对照组，差异具有统计学意义（P ＜0．05）；术后第1天、第2天，观察组胃泌素显著高于对照组，观察组腹胀发生率显著低于对照组，差异均具有统计学意义（P ＜0．05）。结论：采用加味四逆散足三里穴位敷贴可显著促进剖宫产术后胃肠蠕动，而调节血清胃泌素水平是其可能作用机制。
목적：탐토가미사역산족삼리혈위부첩대부궁산술후위장공능적영향。방법：선취부궁산술후환자공200례위연구대상，수궤분위대조조（n ＝100）화관찰조（n ＝100）。대조조급여술후상규호리，관찰조급여가미사역산족삼리혈위부첩。비교량조환자술후장명음회복시간、항문배기시간、배편시간、복창발생솔급혈청위비소수평。결과：관찰조환자술후장명음회복시간、항문배기시간급배편시간균현저조우대조조，차이구유통계학의의（P ＜0．05）；술후제1천、제2천，관찰조위비소현저고우대조조，관찰조복창발생솔현저저우대조조，차이균구유통계학의의（P ＜0．05）。결론：채용가미사역산족삼리혈위부첩가현저촉진부궁산술후위장연동，이조절혈청위비소수평시기가능작용궤제。
Objective To evaluate the effect of Jiaweisinisan tsusanli point application on gastrointestinal function restoration after cesarean section.Methods 200 patients with cesarean section were divided into control group (n =100)and observation group (n =100).The control group was given routine nursing and observation group was given Jiaweisinisan tsusanli point application.The bowel sound recovery time,anorectum exhaust time,defecating time,abdominal distension rate and gastrin level of serum were compared be-tween the two groups.Results The bowel sound recovery time,anorectum exhaust time and defecating time of observation group signifi-cantly sooner than control group,showed significant differences between the two groups (P <0.05).At postoperative 1d and 2d,ser-um gastrin level of observation group significantly higher than control group,showed significant differences between the two groups (P<0.05).The abdominal distension rate of observation group significantly lower than control group,showed significant differences be-tween the two groups (P <0.05).Conclusion Using Jiaweisinisan tsusanli point application therapy for patients with cesarean section can significantly promote postoperation gastrointestinal peristalsis,regulating serum gastrin level level is the possible mechanism.